6. Sexuality Concerns

The patient is able to discuss concerns regarding intimacy and sexuality.

Following pelvic pouch surgery, some women will initially complain of pain with intercourse and vaginal dryness. The pouch sits very closely to the vagina and if the pouch is full, pressure can be placed in the region of the vagina. Ensuring the pouch is emptied before intercourse and experimenting with different positions may help alleviate the discomfort.

Vaginal dryness can be due to hormonal changes following surgery. If it occurs, it is usually temporary and can be remedied through use of vaginal hydrating gels. There is no time restriction in terms of resuming sexual relations - the key is to be ready and comfortable. It is important to keep open dialogue and have the patient share concerns/fears with his/her partner.